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Organization

HIV/AIDS ALLIANCE FOR REGION TWO, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY YOUNG (EXECUTIVE DIRECTOR)
(225) 927-1269
Entity
Organization

Contact information

Practice address
4550 NORTH BLVD, 250, BATON ROUGE, LA 70806-4013
(225) 927-1269
(225) 927-7367
Mailing address
4550 NORTH BLVD, 250, BATON ROUGE, LA 70806-4013
(225) 927-1269
(225) 927-7367

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
CM1000
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1596540
LA
Enumeration date
09/18/2012
Last updated
09/18/2012
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